| Kenneth Wise, MD | |
|
1145 Sturgis Street, Twentynine Palms, CA 92278 | |
| (410) 707-6293 | |
| Not Available |
| Full Name | Kenneth Wise |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1145 Sturgis Street, Twentynine Palms, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447833298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A203427 (California) | Primary |
| 208D00000X | General Practice | 0101275874 (Virginia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Wise, MD 1145 Sturgis Street, Twentynine Palms, CA 92277 Ph: () - | Kenneth Wise, MD 1145 Sturgis Street, Twentynine Palms, CA 92278 Ph: (410) 707-6293 |
Dr. Anatoly Kristiann Hernandez, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1145 Sturgis Road, Twentynine Palms, CA 92278 Phone: 760-830-2307 | |
Dr. Tristan Loesberg, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1145 Sturgis Dr, Twentynine Palms, CA 92278 Phone: 760-830-2190 | |
Dr. Bruce R Laverty, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Marine Corps Air Ground Combat Center, Box 788250, Twentynine Palms, CA 92278 Phone: 760-830-2188 | |
Todd Kramer, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1145 Sturgis Rd, Twentynine Palms, CA 92277 Phone: 909-327-7388 |